title: Staged hybrid repair using telescoped stent graft fixation for aortic arch and descending aortic aneurysms.
abstract: Staged repair of extensive thoracic aortic aneurysms is complicated, with a high incidence of interval rupture between stages. We describe the systematic staged hybrid procedure of a previous endovascular repair of a descending aortic aneurysm and open surgical repair of an aortic arch aneurysm. In the second-stage arch repair, the stent graft was easily retracted and fixed, without dissection, around the aortic arch aneurysm distal side. Extensive thoracic aortic aneurysms were managed without interim rupture or neurologic deficits. This approach avoided the potential for interim rupture because recovery from the first-stage endovascular repair was shorter than that from open repair.
authors.affiliation: Department of Vascular Surgery, Tokyo Medical University, Tokyo, Japan. nkoizumi@tokyo-med.ac.jp
authors.forename: Nobusato
authors.initials: N
authors.lastname: Koizumi
authors.forename: Yukio
authors.initials: Y
authors.lastname: Obitsu
authors.forename: Naozumi
authors.initials: N
authors.lastname: Saiki
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Iida
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kawaguchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shigematsu
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome